Oakmont of Escondido Hills

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Robert Campbell arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction and visit purpose. The Executive Director, Bassem El Rabaa was advised of the annual and conducted and completed the facility tour. Client Records/Incident Reports/Clients Rights Information: LPA reviewed Resident records. Five (5) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. LPA issued a Technical Violation regarding Resident not having TB clearance in chart, facility will submit TB clearance by close of day 8/21/2026. Personnel Records/Training/ Staffing/ Administration: LPA reviewed employee records. Six (6) records were reviewed. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrative organization. Bassem El Rabaa, Administrator’s certificate expiration date was 10/10/2026. Food Service: Food prep areas are clean and organized. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. The facility receives food delivery from Sysco, weekly. Emergency food and water supply is present. There is a location for sharps in the kitchen. Continued on LIC809C Continued.... Physical Plant and Safety of Environment/Operational Requirements: LPA toured the facility inside and outside. LPA observed the facility to be clean and in good repair. The facility is maintained at 75 degrees for the client’s comfort. Lighting is sufficient for safety. Water temperature measured 117.0 degrees F. Laundry is done in the respectively laundry room on each floor and in the memory care unit. There is a locked location for storing laundry soap, cleaning supplies and chemicals in the closet in the housekeeper’s closet. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. LPA dialed the facility’s landline number, which rang and was operable. The LIC 610, emergency disaster plan is maintained. There are no firearms at this facility. There are three (3) secured fireplaces at this facility. There is one (1) secured pool at the facility. LPA observed emergency supplies and first aid kits with the required components. Infection Control: The LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. LPA reviewed staff records and found that all staff had infection control training. Medications/Health Related Services/Incidental Medical Services: The medications are centrally stored. There is a locked carts allocated for medication storage. Centrally stored medication and destruction logs are maintained separately. LPA reviewed medication logs and observed that they were dispensed accurately. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. The alarms are monitored by Allied Universal. The City of Escondido conducted their fire inspection on 05/26/2026. LPA observed smoke detectors and carbon monoxide detectors throughout the facility. There were twenty-two (22) fire extinguishers on site, date charged was 10/05/2025. Pursuant to Title 22 of The California Code of Regulations Division 6, there are zero (0) deficiencies observed. An exit interview was conducted, this LIC 809 was reviewed with, and a copy of this report was provided to Executive Director, Bassem El Rabaa.the state’s words, verbatim · CDSS document, Aug 20, 2026

Allegation investigated: Staff did not seek timely medical care for resident. Licensee did not ensure resident's medication was administered by an appropriately skilled professional.

On April 23, 2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA), Antonine Richard, conducted a follow-up unannounced complaint visit. The LPA met with the Administrator (A1), Bassem EL- Rabaa, and explained the purpose of the visit. The investigation included collecting records and touring the facility. On April 22, 2026, the Department obtained various documents, including the Personnel Report LIC 500 (dated 04/22/26) and the Resident Roster (dated 04/22/26). The Department reviewed and collected documents for residents R1 and R2, including the Admission Agreement, the physician's Report, the Medical Assessment, and the Medication Administration Records (MARs). The Department also obtained two Med Techs' training certificates dated 12/11/2022 and 04/09/2025. The Department interviewed the Administrator (A1), two Med Techs (MT1-MT2), two staff members (S1-S2), and six Residents (R3-R8). Unsubstantiated Allegation #1: Staff did not seek timely medical care for residents. The complaint alleged that residents experienced blood in their urine for three days without staff seeking medical care or contacting hospice. On April 22, 2026, the department interviewed the Administrator (A1), who stated that staff would call Med Techs (MT1-MT2) or the Emergency Medical Service (EMS) to assist residents who needed care. The department also interviewed two Med Techs (MT1-MT2), who denied the allegation and asserted that when a resident faces a medical emergency, they would go to the resident's room to assist, even if the resident is in hospice. MT1 stated that it is common for residents to have blood in their urine after changing the catheter. If, after three days, they find that the bleeding continues, they will call and notify the hospice nurse. They mentioned that if hospice nurses were not nearby, they would call Emergency Medical Service (EMS) for help or send the residents to the hospital. Additionally, the department interviewed two staff members (S1 and S2), both of whom denied the allegation. They stated that when a resident presses the call button, it takes 2 to 3 minutes to reach the resident's room and provide assistance. On the same day, the department interviewed six residents (R3-R8), all of whom denied the allegations and stated that staff help them with their medical needs. The department also reviewed hospice notes from March 2024 to July 2024, which were signed in and out, showing that hospice nurses visited residents R1 and R2 every other day. The department was unable to interview R1 because R1 passed away in July 2024. The department was also unable to interview R2 because R2 passed away in November 2025. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore, the allegation is Unsubstantiated. Allegation #2: Licensee did not ensure resident’s medication was administered by an appropriately skilled professional. The complaint alleged that the licensee did not ensure resident's medication was administered by an appropriately skilled professional. On April 22, 2026, the department interviewed the Administrator (A1), who denied the allegation and stated that Med Techs assisted the residents with their medications. On the same date, the department also interviewed two Medical Technicians (MT1 and MT2). They stated that only Medical Technicians and Nurses are responsible for administering medications to residents, and that caregivers are not trained to assist residents with their medications. MT1 and MT2 emphasized that they would never administer medication to a resident without a doctor's orders. They also indicated that if medication arrived without a doctor's order, they would contact the doctor and the pharmacy to obtain those orders. Additionally, the department interviewed two staff members (S1 and S2), both of whom denied assisting residents with medications. S2 stated that if medication was found in a resident's room, they would notify the Medical Technicians because family members sometimes bring medication for residents without the facility's knowledge. The department interviewed six residents (R3-R8), all of whom reported that staff assisted with their medications without any issues. The department also reviewed medical records, including Physician Reports dated January 30, 2023, and July 2, 2024, which indicated that both R1 and R2 required the facility to store and assist with their medications. The department examined the completion certificates for the Relias Med Tech training courses for MT1 and MT2. Unfortunately, the department could not interview R1, because R1 passed away in July 2024, and also R2, who passed away in November 2025. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore, the allegation is Unsubstantiated. No deficiencies were cited. An exit interview was conducted. A copy of this report was provided to the Administrator Bassem El-Rabaa.the state’s words, verbatim · CDSS document, Apr 23, 2026 · control 18-AS-20240611150248

Allegation investigated: Staff did not seek timely medical care for resident in care Facility not meeting residents needs in a timely manner Facility does not have adequate number of staff Facility is charging extra fees not on care plan

Licensing Program Analyst (LPA)Tiffany Holmes conducted an unannounced complaint visit to the facility to deliver findings on the above-mentioned allegations. LPA gained access to the facility, identified herself, and met with John Brennan, Executive Director to discuss the purpose of the visit. LPA conducted investigation visit and was able to interview residents, facility staff, and outside sources. LPA also reviewed records, and conducted a physical inspection of the facility. It was alleged that staff did not seek timely medical care for resident in care. Interviews revealed that on or aorund 11/19/2021 Resident 1 (R1) was sent out to recieve medical attention due to pain in their leg. Interviews revealed that R1 returned to the facility early the next morning. Interviews with staff did not mention any falls that R1 allegedly suffered. Interviews revealed that if R1 would have fallen that they wouldn't have been able to get them up and the paramedics would have been called. Interviews also revealed that if a resident falls that the staff have to notify and call the nurse when any resident falls. Interviews also revealed that if a resident falls and hits their head or has pain they call 911. Interviews revealed R1 could communicate their needs and was oriented to themself and their family but would also at times be disoriented and confused. Once R1 expressed they were in severe pain they decided to send R1 to the hospital after calling their POA and the other family member since the POA did not answer the first time. Unsubstantiated It was alleged that the facility not meeting residents needs in a timely manner. Interviews revealed that when a call button is activated that the staff goes and checks on the resident to see how they can be of service. Interviews with an outside source revealed they activated the call button one day and that no staff came to the room. Interviews with staff denied the allegation of not meeting the residents needs in a timely manner and denied not answering the call button. Interviews revealed all call buttons get answered and resolved. Interviews revealed that when several call buttons are on they will measure the severity of the problem with each resident then assist them accordingly. Interviews with staff revealed the max time for the call button is 15 minutes but the staff try their best to get there within the first five minutes. During covid the time could have possibly been a little longer. It was alleged that the facility does not have adequate number of staff. Interviews revealed that there were enough staff and there were no complaints from the staff that there is not enough staff. Interviews revealed when staff did get sick and had covid they would have an agency that provided staff to cover. Interviews revealed they were not short staff and they all worked really hard to make sure if they were going to be out that someone was there to work and cover the facility. Interviews revealed they stopped using agency staff around the middle of 2021 because there was no staffing concerns or issues. It was alleged that the facility is charging extra fees not on the care plan. Interviews revealed that R1's fees changed around 03/24/2021 when their functional capabilities subtotal for billable points were increased due to needing more services. These services would vary in nature and the billable points would go up an down from 03/2021 up until 09/2021. The facility was charging the family for the services and went over the services with the family each time there was change. Based on the evidence obtained from interviews, and record review, the complaint allegations of staff did not seek timely medical care for resident in care, facility not meeting residents needs in a timely manner, facility does not have adequate number of staff and facility is charging extra fees not on care plan are unsubstantiated. An exit interview was conducted with John Brennan, Executive Director and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.the state’s words, verbatim · CDSS document, Nov 14, 2024 · control 08-AS-20211124122900

Allegation investigated: Staff neglect resulted in a resident being hospitalized. Resident left soiled for an extended period of time while in care. Staff are not following a resident's needs and services plan.

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to conclude a complaint investigation. LPA was granted entry after identifying herself and discussed the purpose of the visit with*. The Department's investigation included resident, facility, and outside source records reviews and interviews. It was alleged that staff neglect resulted in Resident 1 (R1) being admitted to several hospital stays. A resident records review revealed R1 was admitted to the facility on November 1, 2016, with a primary diagnosis of paralysis to their left side of their body from suffering a stroke. Review of resident records revealed R1 required assistance with dressing and ambulation due to their paralysis. Resident records reviews and an interview with Staff 1 (S1) the Service Health Director, revealed R1 is a two person assist, required a lift for transfers to use the bathroom and for showers. Unsubstantiated The interview with S1 also revealed besides R1 requiring assistance with mobility R1 was independent, oriented, and active in the community. An interview conducted with Outside Source 1 (OS1) on February 6, 2022, revealed facility staff did not conduct incontinence care in a timely manner that resulted in several recent hospital stays to treat R1 for Urinary Tract Infections (UTIs). A review of facility and Outside Source 2 (OS2) records revealed R1 had no recent hospital stays from October 1, 2021, to the time the complaint was filed on December 21, 2021. An interview conducted with Outside Source 3 (OS3) confirmed R1 had no recent hospital records per the given time frame and R1’s last hospital visit was on September 22, 2020. An interview with Outside Source 4 (OS4) corroborated R1 had no hospitalizations or serious medical conditions that was a result from UTIs. It was also alleged facility staff left R1 in soiled undergarments for an extended period. Resident records reviews and an interview conducted with S1 on December 30, 2021, revealed on an occasion (date unknown) R1 was having bowel problems and was found in soiled undergarments. S1 revealed they had expressed to R1 the importance of using their pendant for assistance when they had soiled undergarments, in response R1 revealed that they were unable to feel when they were soiled due to their paralysis. The interview conducted with S1 revealed upon R1 revealing not being able to feel when they were soiled, R1 underwent a re-assessment and their care plan was updated to increased frequencies of checks and incontinence care provided by staff. Additionally, it was alleged facility staff did not follow R1’s needs and service plan. A resident records review of R1 revealed between January of 2020 and December of 2021, R1 had a total of three (3) reassessments to gage their level of care and updated their care plan accordingly to ensure R1 care needs were met. Further review of R1’s records revealed on December 12, 2021, R1 had undergone a change in condition and in agreement with R1’s Responsible Party, R1’s care plan was updated to providing 2-hour checks for incontinence care. Interviews with facility staff were conducted on December 30, 2021, revealed the following information. An interview conducted with Staff 2 (S2) revealed when providing care and supervision for R1 they would check on R1 every two hours as directed and changed R1’s undergarments as needed. S2 also revealed they responded to R1’s pendent calls within 5 minutes. S2 stated they enjoyed talking to R1 and did not mind doing more care tasks to keep R1 comfortable. An interview conducted with Staff 3 (S3) revealed they worked as on-call staff to provide extra support when needed. S3 revealed they would respond to pendent calls within 5 minutes to ensure immediate assistance needed by residents, including R1, were met. An interview conducted with Staff 4 (S4) revealed they recently began working at the facility in November 2021. S4 also revealed they frequently responded to R1’s pendent calls as they would call for assistance for small task, in addition S4 would conduct checks every two hours to ensure R1 was dry and clean per direction from the Service Health Director. An interview conducted with Staff 5 (S5) revealed they were routinely assigned to provide care for R1 and would conduct frequent checks, assist them with showers, and changed their undergarments to ensure R1 was kept clean and dry. An interview conducted with R1 on January 15, 2022, revealed they were doing really well and facility staff had been checking on them frequently. [See LIC 811 for confidential names] Due to lack of corroborating evidence, the finding regarding the above allegations were established to be unsubstantiated. This finding means although the allegations may have happened or could be valid, there is not a preponderance of evidence to prove that the alleged violations occurred. LPA Correia conducted an exit interview with ED Brennan. At the time of the exit interview ED Brennan was advised a copy of the Complaint Investigation Report (LIC9099) and Licensee Rights (LIC9058 01-2016) will be provided and signature on this report acknowledges receipt of the rights.the state’s words, verbatim · CDSS document, Oct 31, 2024 · control 08-AS-20211220132223

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kathleen Banrasavong arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction and visit purpose. Upon arrival LPA learned that one hundred and thrifty-one (131) residents live at this facility. The Executive Director, John Brennan was advised of the annual and conducted and completed the facility tour. Client Records/Incident Reports/Clients Rights Information: LPA reviewed client records. Five (5) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. Personnel Records/Training/ Staffing/ Administration: LPA reviewed employee records. Five (5) records were reviewed. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrative organization. John P. Brennan, Administrator’s certificate expiration date was 05/04/2025. Food Service: Food prep areas are clean and organized. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. The facility receives food delivery from Sysco, bi-weekly. Emergency food and water supply is present. There is a location for sharps in the kitchen. Physical Plant and Safety of Environment/Operational Requirements: LPA toured the facility inside and outside. LPA observed the facility to be clean and in good repair. The facility is maintained at 75 degrees for the client’s comfort. Lighting is sufficient for safety. Water temperature measured 108.0 degrees F. Laundry is done in the respectively laundry room on each floor and in the memory care unit. There is a locked location for storing laundry soap, cleaning supplies and chemicals in the closet in the housekeeper’s closet. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. LPA dialed the facility’s landline number, which rang and was operable. The LIC 610, emergency disaster plan is maintained. There are no firearms at this facility. There are three (3) secured fireplaces at this facility. There is one (1) secured pool at the facility. LPA observed emergency supplies and first aid kits with the required components. Infection Control: The LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. LPA reviewed staff records and found that all staff had infection control training. Medications/Health Related Services/Incidental Medical Services: The medications are centrally stored. There is a locked cabinet allocated for medication storage. Centrally stored medication and destruction logs are maintained separately. LPA reviewed medication logs and observed that they were dispensed accurately. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. The alarms are monitored by Allied Universal. The City of Escondido conducted their fire inspection on 05/23/2024. LPA observed smoke detectors and carbon monoxide detectors throughout the facility. There were twenty-two (22) fire extinguishers on site, date charged was 10/05/2023. Pursuant to Title 22 of The California Code of Regulations Division 6, there are zero (0) deficiencies observed. An exit interview was conducted, this LIC 809 was reviewed with, and a copy of this report was provided to Executive Director, John Brennan.the state’s words, verbatim · CDSS document, Aug 23, 2024